Head of Access Operations and Analytics

Job Description

Vertex is hiring a Head of Access Operations and Analytics, reporting to the Vice President, US Market Access. This leader will oversee multiple teams including but not limited to Government and State Drug Transparency Price Reporting, Gross-to-Net, the US Market Access Data & Analytics Center of Excellence and Access Operations teams.

This high-performing function is critical to supporting the success of patient access to Vertex medicines, informing the revenue forecast, ensuring product availability across the US and Canada, and providing data governance and access analytics in support of the Access Strategy and Access Field teams. Importantly, the leader will ensure Vertex compliance with relevant external laws and internal SOPs and SOX requirements. The position will serve as a member of the Market Access Leadership team, tasked with ensuring broad and equitable access to Vertex medicines, informing access and pricing strategies, and being a catalyst for innovation. 

Vertex is a biotechnology company with commercialized medicines for Cystic Fibrosis, Sickle Cell Disease, Transfusion Depended Beta-thalassemia and Acute Pain. Vertex also has a robust pipeline with programs in Type 1 Diabetes and targeted kidney diseases in phase 3 clinical trials, as well as several programs in phase 2 development. This opportunity is unique in the breadth of disease areas in scope as well as the product modalities which span small molecule, gene therapy, cell therapy, subcutaneous injection, and mRNA therapy, each requiring unique and innovative access and distribution strategies.

In support of Vertex’s evolving commercial business and in preparation for potential future launches, this role will be tasked with the continued building of the Market Access Operations team. This includes identifying, hiring and onboarding talent, as well as streamlining and building new capabilities, processes, systems and governance. The incumbent will collaborate closely with the Market Access Strategy team, the Contract Operations Team, and the Field Accounts team. They will build strong cross-functional working relationships across Accounting, Compliance, Finance, Data and Technology, Data Sciences, Government Affairs and Public Policy, Legal, Regulatory and Supply Chain.

This senior leader will possess the highest professional integrity, exemplary leadership skills, and relevant experience across the areas of oversight:

• Price Reporting: Oversight of all statutory government price reporting requirements (AMP, BP, ASP, NFAMP, etc.); review and approval of all workbooks and calculations prior to submission to the Comptroller for certification. Own library of GP methodologies, reasonable assumptions, memos to file; update in accordance with new regulations and product additions. Ensure maintenance of and compliance with obligations under the Federal Supply Schedule contract. As business owner of Model N, conduct price and policy set-ups, as well as appropriate user access and assigned roles, as assessed quarterly under SOX audits. Enable team to support upgrades, testing and assessments.

• State Drug Price Transparency: Ensure tracking of and compliance with all state transparency requirements. Gain cross functional alignment on inputs and accuracy prior to submitting timely and accurate reports.

• Access Forecast Analytics: Oversee GTN forecast methodology and outputs of payer mix, gross-to-net and inventory to inform monthly forecast, long range plan, and budget setting processes. Serve as SME on these areas at meetings with executive leadership.  Pull through government pricing and state/federal policy considerations into GTN forecast. Ensure accuracy of reporting, analytics and insights that inform revenue forecast, pricing and contracting decisions, and general business planning. Support team in creating and presenting complex policy and pricing analytics to senior leadership and the Access and Policy Steering Committee.

• US Market Access Data & Analytics Center of Excellence: Foster and champion the continued development and evolution of the USMA Data and Analytics COE. Serve as SME and collaborative partner to the Market Access Strategy team and bespoke Business Unit Leadership Teams. Partner with Data and Technology Enterprise Solutions, Data Sciences, HEOR and North America Commercial Ops and Analytics to identify, obtain, warehouse and make available critical datasets to appropriate users. Lead team to deliver focused analytics and action-oriented analytics to inform pricing, access and contract strategies, business cases, and performance tracking. Drive innovation and adoption across new technologies.

• Access Operations: Ensures consistent and compliant distribution of Vertex medicines across